Jyoti Jain, Md, PA

NPI #1336417039 in Garland, Texas

Provider Information

NPI Number: 1336417039
Entity Type: Organization
Organization Name: Jyoti Jain, Md, PA
Primary Specialty: Pediatrics
Enumeration Date: Dec 8, 2011
Last Updated: Apr 17, 2012

Practice Location

Address: 6448 BROADWAY BLVD
City: Garland
State: Texas
ZIP Code: 75043-5943
Phone: (972) 216-8500

Authorized Official

Name: DR. JYOTI JAIN, M.D., P.A.
Title: OWNER/PHYSICIAN
Phone: (972) 216-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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